Postoperative hypoparathyroidism after thyroid surgery

Aggeli, C.; Zografos, Georgios; Nixon, Alexander; Tsipras, I.

doi:10.1007/s13126-015-0193-6

Cited by 5 publications

(3 citation statements)

References 15 publications

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“…17 In experienced hands, these procedures can be performed with relative few complications and optimal postoperative quality of life. Complications range from the relatively innocuous such as transient hypoparathyroidism 18 to the severe and deadly such as bilateral vocal cord paralysis 19 (Figure 2). The later severe complications are rare but indicate that thyroid resection, while considered safe, can have devastating consequences and therefore should not be undertaken in the absence of concrete indications.…”

Section: Introductionmentioning

confidence: 99%

Circulating thyroid cancer biomarkers: Current limitations and future prospects

Nixon

Provatopoulou²,

Kalogera³

et al. 2017

Clinical Endocrinology

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Section: Introductionmentioning

confidence: 99%

Circulating thyroid cancer biomarkers: Current limitations and future prospects

Nixon

Provatopoulou²,

Kalogera³

et al. 2017

Clinical Endocrinology

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“…Hypocalcemia can be symptomatic in the early period as well as after discharge. Therefore, both the treatment and hospitalization times of patients can be prolonged [6]. In the literature, postoperative hypocalcemia rates after total thyroidectomy were reported to be between 1.6-40% [7,8] and permanent hypocalcemia rates between 0.6-4.7% [7,9,10].…”

Section: Discussionmentioning

confidence: 99%

The importance of extra care for parathyroid gland secure during total thyroidectomy

Temiz¹

2019

Ann Clin Anal Med

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Aim: One of the most common complications after thyroid surgery is hypocalcemia. Hypocalcemia can be seen transiently or permanently. In this study, we aimed to reveal the factors affecting the development of hypocalcemia in patients who underwent total thyroidectomy. Material and Method: The files of the patients who underwent thyroidectomy between September 2009 and December 2014 were reviewed retrospectively. Patient files were reviewed for age, gender, thyroid function tests, postoperative calcium values, pathology reports and peroperative parathyroid auto-implantation. Patients were grouped according to the presence of transient and permanent hypocalcemia. The effects of the obtained data on the effects of transient and permanent hypocalcemia were investigated. Results: Eight hundred and twenty-four patients were included in our study. The mean age of the patients was 46.56 ± 12.52. Of the patients, 115 (14%) were male and 709 (86%) were female. While the incidence of permanent hypocalcemia was 1.3%, the incidence of transient hypocalcemia was 27.3%. Factors affecting the development of transient hypocalcemia were female gender (p <0.001), hyperthyroidism (p <0.001), parathyroid auto-implantation (p = 0.001), and incidental parathyroid excision (p <0.001). The only factor affecting the development of permanent hypocalcemia was incidental parathyroid excision (p <0.001). Discussion: Incidental parathyroid excision has an effect on the development of both transient and permanent hypocalcemia, whereas sex, hyperthyroidism, and parathyroid auto-implantation have an effect on transient hypocalcemia.

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“…Postoperative hypoparathyroidism may constitute one of the complications associated with thyroidectomy due to cancer and benign goitre. It is usually caused by removal, damage, or ischaemia of the parathyroid glands [3,4].…”

Section: Introductionmentioning

confidence: 99%